Individual
JAYE ELLEN RACANELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.N.P.
Contact information
Practice address
195 E MAIN ST, HUNTINGTON, NY 11743-2957
(631) 549-8181
(631) 549-2028
Mailing address
195 E MAIN ST, HUNTINGTON, NY 11743-2957
(631) 549-8181
(631) 549-2028
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F303025
NY
Other
Enumeration date
01/30/2007
Last updated
05/06/2009
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